Provider Demographics
NPI:1992837363
Name:MOORESTOWN FIRST AID AND EMERGENCY SQUAD, INC.
Entity type:Organization
Organization Name:MOORESTOWN FIRST AID AND EMERGENCY SQUAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SHEILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-235-9191
Mailing Address - Street 1:PO BOX 18533
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-0533
Mailing Address - Country:US
Mailing Address - Phone:800-240-6365
Mailing Address - Fax:724-234-4703
Practice Address - Street 1:261 W MAIN STREET
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2356
Practice Address - Country:US
Practice Address - Phone:856-235-9191
Practice Address - Fax:856-235-1454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ91001074700OtherAMERICHOICE
NJ2142554000OtherKEYSTONE
NJ3120444OtherAETNA
NJ35954OtherHEALTH PARTNERS
NJ0244422Medicaid